KIMANI FITZGERALD
NPI 1740011154
Nurse Practitioner - Family in East Peoria, IL
About Kimani Fitzgerald NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMANI FITZGERALD (NPI 1740011154) is an individual family provider in East Peoria, Illinois, licensed in Illinois (209.029516) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Illinois, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimani Fitzgerald is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Kimani Fitzgerald reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61636
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1164474755 (Illinois)
- 693 clinicians in this Medicare group
Peoria, IL 61614
- Reassigned Medicare billing, Illinois enrollment
- 349 clinicians in this Medicare group
Bloomington, IL 61705
- Reassigned Medicare billing, Illinois enrollment
- 19 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Medical Center Of Illinois
Acute Care Hospitals · Peoria, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST PEORIA, IL 61611
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimani Fitzgerald's NPI number?
The NPI number for Kimani Fitzgerald is 1740011154. It was assigned to this individual provider in the NPPES registry on August 8, 2024.
Where is Kimani Fitzgerald located?
Kimani Fitzgerald practices at 1000 Centennial Dr, East Peoria, IL 61611. The listed phone number is (309) 324-0880.
What is Kimani Fitzgerald's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimani Fitzgerald enrolled in Medicare?
Yes. Kimani Fitzgerald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kimani Fitzgerald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimani Fitzgerald reassigns Medicare benefits to 4 organizations: Methodist Medical Center Of Illinois (Peoria, IL), Proctor Health Systems (Peoria, IL), Empowerme Medical Group, PC (Bloomington, IL) and Carle Health Medical Group (Urbana, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimani Fitzgerald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kimani Fitzgerald affiliated with any hospitals?
According to CMS data, Kimani Fitzgerald is affiliated with Methodist Medical Center Of Illinois.
When was this NPI record last updated?
The NPPES record for Kimani Fitzgerald was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kimani Fitzgerald · NPI 1740011154
Family physician in East Peoria, Illinois. Individual provider, active in the CMS NPPES registry since August 8, 2024.
## Identity
- **NPI:** 1740011154 (Entity type: Individual)
- **Enumerated:** August 8, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.029516 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 CENTENNIAL DR, East Peoria, IL 61611-4916
- **Phone:** (309) 324-0880
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Methodist Medical Center Of Illinois (NPI 1275583155, Peoria, IL); Proctor Health Systems (NPI 1134173917, Peoria, IL); Empowerme Medical Group, PC (NPI 1073217204, Bloomington, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1740011154) · Data from the CMS NPPES public registry.